Charlton Morgan Weyer, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1393 Weimer Rd
Taos, NM 87571-6201

Phone

(575) 758-8651

NPI assigned

Oct 17, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Taos Whole Health Integrative Care, LLC.Group PAC ID 0446523997, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Holy Cross Hospital a Div of Taos Health Systems Hospital, Taos, NM, CCN 321310

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: charlton.weyer.1@17440.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/17440/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Taos Whole Health Integrative Care, LLC

  • Family Medicine Physician
  • Taos, NM
  • NPI 1356879027
  Medicare reassignment Care Compare group NPD (past)
• Taos Health Systems, Inc., Holy Cross Hospital

  • Critical Access Hospital
  • Taos, NM
  • NPI 1902338049
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Taos Health Systems Inc Holy Cross Hospital

  • General Acute Care Hospital
  • Taos, NM
  • NPI 1194751958
  Care Compare affiliation
• Taos Health Systems, Inc., Holy Cross Hospital

  • Critical Access Hospital
  • Taos, NM
  • NPI 1902338049
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1033513155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 W LAKE ST STE 1500",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805244124",
            "telephone_number": "970-237-8200",
            "fax_number": "970-237-8291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1393 WEIMER RD",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875716201",
            "telephone_number": "575-758-8651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEYER",
        "first_name": "CHARLTON",
        "middle_name": "MORGAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-17",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36138223",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elisa Welch
• Sarah R Welch, BMS
• Carol Wells, LISW
• Charles T Wemple, R.N.
• Curt James West, C.F.A.
• Barbara Whipple, LADAC
• White Crane Clinic, P.a.
• Camille White
• Robert B White
• Sandra W Whitney

• Physician Assistant in Taos, NM
• Providers in Taos, NM by specialty
• Physician Assistant in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.